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Rheumatoid Arthritis Health Feed

I am 59 hypothyroid rheumatoid arthritic patient. Now I find Hbac in the prediabetes range. What do I do apart from medicines.

Dr. Prabhakar Laxman Jathar 95% (14648 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am 59 hypothyroid rheumatoid arthritic patient. Now I find Hbac in the prediabetes range. What do I do apart from m...
Lybrate-user ji, Thanks for the query. Madam it is necessary to achieve TSH level around 3 to 4 mU/L, to be free from symptoms of hypothyroidism. Only then one can try and reduce the weight. With a BMI of 33.62 kgs/Sq meter, you are close to being in grade 2 obesity. This can lead to diabetes. You have an excess of 26 kgs. Please reduce that, which will help in free from diabetes. Thanks.
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Rheumatoid Arthritis - 5 Homeopathic Remedies For It!

Dr. Minhaz Nisar 92% (224 ratings)
BHMS
Homeopath, Bhopal
Rheumatoid Arthritis - 5 Homeopathic Remedies For It!

Are you suffering from rheumatoid arthritis and looking for an effective treatment? You can choose homeopathic treatment as it is natural and is free from any side effect. Rheumatoid arthritis is a form of autoimmune disease, which causes inflammation of the joints. The inflammation can be chronic and does not subside on its own. It leads to destruction of your joint tissues. Here are some top homeopathic medicines, which are used for treating rheumatoid arthritis:

  1. Causticum: This is one of the primary homeopathic medicines used to treat rheumatoid arthritis when there are joint deformities. The patient weakens over time and the muscles lose strength eventually. The patient feels extremely restless during the night and the restlessness is associated mostly with the legs. Contractions in the tendons likely result in deformities and intense pain. The pain is tearing in nature. Due to weakness of the forearm muscles, the patient may not have a firm grip on anything. The pain usually improves by keeping the affected the area warm.
  2. Caulophyllum: This is an effective medicine for rheumatoid arthritis and is commonly used for women. It is used when small joints are affected more, compared to the larger joints in the limbs. This medicine is mostly used to treat arthritis of fingers of your hands and feet. The pain keeps on changing positions all the time within a small span of time. At one moment, you may feel it on your right hand, and soon after it may affect your left hand. Gradually, it shifts towards the feet as well.
  3. Colchicum: This homeopathic medicine is usually required during chronic stages of rheumatoid arthritis. It affects several tissues such as periosteum, synovial membranes and other muscle tissues. The inflamed parts turn red, become hot and swollen. The pain is expected to worsen during the evening and night. The fingertips may feel numb and you may feel some joint stiffness as well. A feverish feeling is also likely.
  4. Ledum Pal: This medicine is used in the cases of rheumatoid arthritis where the rheumatoid starts in the feet and travels upwards spreading to the upper joints of the body. The patient feels cold, but still cannot bear any amount of warmth. The small joints present in the feet are commonly affected. Swelling in the toes and ankles is a common symptom.
  5. Bryonia: This is an excellent homeopathic medicine for rheumatoid arthritis. It is used when all the joints and joint membranes are swollen and affected. The pain experienced is unbearable and increases with motion. The inflamed joints become red and swollen.

To know the best homeopathic remedy which is ideal for treating your rheumatoid arthritis, you should visit a homeopathic doctor.

Rheumatic Disorders - Top Ayurvedic Herbs & Techniques At Your Rescue!

Dr. Vikrant Patil 86% (10 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurvedic Medicine, MBA
Ayurveda, Pune
Rheumatic Disorders - Top Ayurvedic Herbs & Techniques At Your Rescue!

Rheumatoid arthritis is chronic inflammatory disorder that can affect more than just your joints . In some people, the condition also can damage a wide variety of body system.

An autoimmune disorder, rheumatoid arthritis occurs when your immune system mistakenly attacks your own body tissues. Unlike the wear & tear damage of osteoarthritis, RA affects the lining of your joint causing a painful swelling that can eventually result in bone erosion and joint deformity.

As per the ayurveda this condition can be corelate with “ आमवात ”

अन्गमर्दोsरुचिस्तृष्णा आलस्यं गौरवं ज्वरः |

अपाकः शुनताsगंनामामवातस्य लक्षणं ||

40 % of people who have RA also experience involvement of many nonjoint structures like eye, skin, kidney, heart, lungs, salivary gland, nerve tissue, blood Vessels.

Symptoms

  1. Abdominal pain
  2. Fever
  3. Heart (cardiac) problems, which may not have symptoms, or may result in shortness of breath and chest pain
  4. Joint pain, arthritis (mainly in the knees, elbows, ankles, and wrists)
  5. Joint swelling; redness or warmth
  6. Nosebleeds (epistaxis)
  7. Skin nodules
  8. Skin rash (erythema marginatum)
  9. Skin eruption on the trunk and upper part of the arms or legs
  10. Eruptions that look ring-shaped or snake-like
  11. Sydenham chorea (emotional instability, muscle weakness and quick, uncoordinated jerky movements that mainly affect the face, feet, and hands)

Treatment :

The goals of treatment are to minimize symptoms & to prevent bone deformity and to maintain day to day functioning.

While treating patients of RA treating their agni is prime factor because unless & until we control aam its very difficult to give cure to patient. Hence line of treatment as per ayurveda is :

  1. Internal medications to improve agni, aampachan to reduce symptoms.
  2. Panchakarma :
    • Basti: It’s a prime treatment of vata vyadhi.
    • Patrapottali
  3. Gandharva Siddha Sneha internally along with 1 cup warm milk at bed time.
  4. Valuka pottali swedan
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Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Dr. Himanshu Aggarwal 93% (11 ratings)
MBBS, MD - Medicine, DNB - Rheumatology, Fellowship In Rheumatology
Rheumatologist, Delhi
Rheumatoid Arthritis - Why It Is Important To Treat It On Time?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long ( 5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! 

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Hi Doctor, My wife suffering from RA, she is taking saaz ds 1gm from last 16 months, now there is no pain. Now she is 7 weeks pregnant, there is severe bleeding, gynecologist doctor informed to us to stop this saaz ds. Any other alternative medicine is there? Thanks.

Dr. Indu Taneja 88% (444 ratings)
DNB, DGO, MBBS
Gynaecologist, Faridabad
Hi Doctor,
My wife suffering from RA, she is taking saaz ds 1gm from last 16 months, now there is no pain. Now she is...
This medicine contains sulphasalazine which can cross the placenta and can cause harm to pregnancy.
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What are the side effects of lysoflam tablet? Whenever I take this tablet I slept for 7-8 hours. Please tell me, what can I do?

Dr. S. Gomathi 91% (739 ratings)
BPTh/BPT
Physiotherapist, Bangalore
What are the side effects of lysoflam tablet? Whenever I take this tablet I slept for 7-8 hours.
Please tell me, what...
It's an anti inflammatory tablets, drowsiness is common side effects among most of the medications.
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Dear Dr. I am taking hcqs400, lefno20 mg folic acid 5 mg and folitrax15 mg for my RA.in my blood sgpt is 115 and sgot 43. Is it because of medication?

Dr. Vishwas Virmani 93% (21711 ratings)
MPT, BPT
Physiotherapist, Noida
Dear Dr. I am taking hcqs400, lefno20 mg folic acid 5 mg and folitrax15 mg for my RA.in my blood sgpt is 115 and sgot...
Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart
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I am 51 years old lady and has been diagnosed with RA. RA factor. 92.ESR. 63.CRP. 2.5.have severe pain n stiffness in between knees. Cannot stand fairer than 10 mns n cannot walk more than 10 steps. I am taking Rumalaya forte thrice a day for 20 days but my condition is not improving. please suggest.

Dr. Shyam Bhairi 90% (60 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Hubli-Dharwad
I am 51 years old lady and has been diagnosed with RA. RA factor. 92.ESR. 63.CRP. 2.5.have severe pain n stiffness in...
Hello. Rheumatoid arthritis is an auto immune disease (it's a disease where your antibodies are acting against your own body causing harm). It needs constant evaluation and adjusting the doses to suppress the pain. It cannot be treated with one magic drug, you need to consult a rheumatologist get your blood checked regularly and followup with rheumatologist. Please do not ignore and consult ASAP.
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Hi I m35 years old. I diagnosed with ra positive .I feel stiffness in my legs and arms. Heels always in pain. But uric acid and esr are just normal range I always feel heaviness after every meal .plz suggest me what I have to do.

Dr. Ramesh C G 92% (182 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics)
Orthopedist, Tumkur
Hi I m35 years old. I diagnosed with ra positive .I feel stiffness in my legs and arms. Heels always in pain. But uri...
Take vitamin D3 and calcium supplements. Always include antacids with your anti rheumatoid drugs. If you can tell what all drugs you are taking for RA I can tell clearly.
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I feel bone stiffness in right hand middle finger, every early morning, what would be the reason and how can I treat it?

Dr. Julie Mercy J David 90% (10682 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I feel bone stiffness in right hand middle finger, every early morning, what would be the reason and how can I treat it?
Rheumatic arthritisIt is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation The sound what you hear is called as Crepitus /ˈkrɛpɪtəs/ (also termed crepitation) is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. Popping Knees and Crackling Knuckles. Occasionally hearing pops, snaps, and crackles when you bend your knees doesn’t necessarily mean you have arthritis. The kneecap (patella) is the small, convex bone that sits at the front of the knee, shielding the joint.
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